Health, United States Spotlight Infographics September 2016

September 21, 2016

hus_0916_screenshotHealth, United States Spotlights are infographics of selected health data available in Health, United States, the annual report on the health of the nation submitted by the Secretary of the Department of Health and Human Services to the President and Congress.

Each Spotlight displays approximately four health indicators allowing users to visualize and interpret complex information from different data systems and Health, United States subject areas.

This infographic features indicators from the report’s Health Care Expenditures & Payers subject area.

The full Health, United States reports are available at:http://www.cdc.gov/nchs/hus.htm


Health Insurance Data from the National Health Interview Survey

September 16, 2016

The National Health Interview Survey (NHIS) has monitored the health of the nation since 1957 and collects data on a broad range of health topics through personal household interviews. NHIS has collected health insurance data periodically since 1959 and annually since 1989. The NHIS health insurance questions have changed and expanded over time to reflect changes in health insurance coverage as well as questionnaire design. Since 1997, the content and flow of the health insurance section has remained relatively stable, incorporating new programs where necessary. For example, new questions added in 2014 obtain information about whether coverage was obtained through the Federal Health Insurance Marketplace and state-based exchanges.

The NHIS allows for both point-in-time uninsured estimates as well as full-year and part-year uninsured estimates. Three estimates of lack of health insurance coverage are published for each calendar quarter: (a) uninsured at the time of interview, (b) uninsured at least part of the year prior to interview (which includes persons uninsured for more than a year), and (c) uninsured for more than a year at the time of interview. In addition, NHIS provides estimates of both public and private coverage as well as enrollment in high-deductible health plans and exchange-based coverage. The NHIS may be used to monitor changes in health insurance coverage throughout the year as the survey is fielded continuously throughout the year.

To see the latest quarterly numbers on health insurance coverage through January-March 2016, check out: Health Insurance Coverage: Estimates from the National Health Interview Survey, January-March 2016, released on September 7, 2016.


State Variation in Health Care Service Utilization: United States, 2014

May 5, 2016

State-level differences in the percentage of uninsured Americans, along with other factors, may affect health care access and utilization.

An NCHS report examines the prevalence of two health care utilization measures among adults aged 18–64 by state. Additionally, differences by Medicaid expansion status and state Health Insurance Marketplace type are examined.

Findings: 

  • The percentage of adults without a usual place of medical care ranged from 2.8% in Vermont to 26.7% in Nevada.
  • The percentage of adults who did not have a general doctor visit in the past 12 months ranged from 15.9% in Vermont to 48.1% in Montana.
  • The percentage of adults without a usual place of medical care was lower in states that expanded Medicaid compared with nonexpansion states.
  • The percentage of adults without a usual place of medical care or who did not see a general doctor in the past 12 months was lower in states with partnership marketplaces compared with Federally Facilitated Marketplace states.

Access to Care Among Adults Aged 18–64 With Serious Psychological Distress

May 5, 2016

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Between 2013 and the first 9 months of 2015 almost 15 million adults aged 18–64 gained health insurance coverage in the United States. In monitoring the effects of this shift in coverage, one population of special interest is those with mental health conditions.

Previous studies have shown adults with mental health conditions have greater health care needs and are at higher risk for poor health outcomes, but may have reduced access to services.

A new NCHS report provides estimates of health care access and utilization for adults aged 18–64 with and without serious psychological distress in the past 30 days, an indicator of mental health problems severe enough to cause moderate-to-serious impairment in social, occupational, or school functioning and to require treatment. Estimates were based on data from the National Health Interview Survey for January 2012 through September 2015.

Findings:

  • Among adults aged 18–64 with serious psychological distress, the percentage who were uninsured decreased from 28.1% in 2012 to 19.5% in the first 9 months of 2015. Adults without serious psychological distress saw a decrease in the percentage of uninsured from 20.3% in 2012 to 12.3% in the first 9 months of 2015.
  • Although more adults with serious psychological distress have public rather than private coverage, the percentage with public coverage has remained relatively stable from 2012 through the first 9 months of 2015 while the percentage with private coverage has increased over the same time
    period.
  • The percentage of adults with serious psychological distress who have seen a mental health care professional in the past 12 months has declined from 2012 to the first 9 months of 2015.
  • In the first 9 months of 2015, 24.4% of adults with serious psychological distress and 6.1% of those without serious psychological distress had not received needed medical care due to cost.
  • The percentage of adults with serious psychological distress who needed mental health care but could not afford it declined from 2012 to the first 9 months of 2015.

Health Insurance Coverage: Early Release of Estimates From the National Health Interview Survey, January–September 2015

February 10, 2016

A new NCHS report presents selected estimates of health insurance coverage for the civilian noninstitutionalized U.S. population based on data from the January–September 2015 National Health Interview Survey (NHIS), along with comparable estimates from the 2010–2014 NHIS.

Estimates for 2015 are based on data for 79,847 persons.

Findings:

  • The number of uninsured persons has declined in the past 2 years. In the first 9 months of 2015, 28.8 million persons of all ages (9.1%) were uninsured at the time of interview—7.2 million fewer persons than in 2014 and 16.0 million fewer than in 2013.
  • Among adults aged 18–64, the percentage uninsured decreased from 16.3% in 2014 to 12.9% in the first 9 months of 2015. A corresponding increase was seen in the percentage with private coverage, from 67.3% to 70.0%, respectively. In 2013, among adults aged 18–64, 20.4% were uninsured and 64.2% had private coverage.
  • Among children under age 18 years, the percentage with private coverage increased from 52.6% in 2013 to 55.1% in the first 9 months of 2015.
  • Among those under age 65, the percentage with private coverage through the Health Insurance Marketplace or state-based exchanges increased from 2.5% (6.7 million) in the fourth quarter of 2014 to 4.2% (11.3 million) in the third quarter of 2015 (July–September).

Number of Uninsured in U.S. Continues to Decline

November 6, 2015

NCHS has released selected estimates of health insurance coverage for the civilian noninstitutionalized U.S. population based on data from the January–June 2015 National Health Interview Survey (NHIS), along with comparable estimates from the 2010–2014 NHIS.

Key Findings:

  • In the first 6 months of 2015, 28.5 million persons of all ages (9%) were uninsured at the time of interview—7.5 million fewer persons than in 2014 and 16.3 million fewer than in 2013.
  • Among adults aged 18–64, the percentage uninsured decreased from 16.3% in 2014 to 12.7% in the first 6 months of 2015. There was a corresponding increase in private coverage, from 67.3% to 70.6%. In 2013, among adults aged 18–64, 20.4% were uninsured and 64.2% had private coverage.
  • Among children under age 18 years, the percentage with private coverage increased from 52.6% in 2013 to 56.0% in the first 6 months of 2015, reversing a 14-year trend of declining rates of private coverage.
  • Among those under age 65, the percentage with private coverage through the Health Insurance Marketplace or state-based exchanges increased from 2.5% (6.7 million) in the fourth quarter of 2014 to 4.0% (10.7 million) in the second quarter

Health Care Access and Utilization Among Adults Aged 18–64, by Race and Hispanic Origin: United States, 2013 and 2014

July 15, 2015

In 2014, U.S. adults could buy a private health insurance plan through the Health Insurance Marketplace or state-based exchanges established as part of the Affordable Care Act. Moreover, some states opted to expand Medicaid coverage to low-income adults.

This report has data from the 2013 and 2014 National Health Interview Survey used to describe recent changes in health insurance coverage and selected measures of health care access and utilization for adults aged 18–64, by race and Hispanic origin.

Key Findings from the Report:

  • Compared with 2013, adults aged 18–64 who were uninsured at the time of interview decreased in 2014 for Hispanic (41.1% to 34.1%), non-Hispanic white (14.5% to 11.5%), non-Hispanic black (24.7% to 17.6%), and non-Hispanic Asian (16.1% to 12.1%) adults.
  • Adults aged 18–64 who had a usual place to go for medical care increased in 2014 for Hispanic (69.1% to 73.0%) and non-Hispanic white (84.3% to 85.6%) adults.
  • Adults aged 18–64 who had seen or talked to a health care professional in the past 12 months increased in 2014 for Hispanic (67.5% to 70.1%) adults.
  • Adults aged 18–64 who did not obtain needed medical care due to cost at some time during the past 12 months decreased in 2014 for Hispanic (9.9% to 7.6%) and non-Hispanic white (7.7% to 7.0%) adults.